NPI 1700902392

AIDS Care Ocean State, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Providence, RI

Practice location

Address: 557 Broad St, Providence, RI 02907-1403
Phone: (401) 273-1888
Fax: (401) 454-1927
Mailing address: 18 Parkis Ave, Providence, RI 02907-1454

Authorised official

Name: Gina Mercure
Title: Coo
Phone: (401) 521-3603

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 46853 (RI)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Rhode Island →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1700902392
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 14 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.